crab house invite

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  • 8/8/2019 Crab House Invite

    1/2

    The Queens County DemocratsAnd

    Joseph CrowleySpecial Guest

    Cordially invite youTo a dinner reception

    In honor of

    New York State ComptrollerTom DiNapoli

    The Waterfront Crab House2-03 Borden AvenueLong Island City, NY

    Tuesday, October 12 th 5:30pm - 7:00pm

    Special thanks toTony Mazzarella

    To RSVP, please see the attached form,

    Call Elizabeth (646) 861-0066, or email [email protected]

    mailto:[email protected]:[email protected]
  • 8/8/2019 Crab House Invite

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    The Queens County Democrats with Joseph Crowley, Special GuestCordially invite you to attend a cocktail reception in support of

    New York State Comptroller Tom DiNapoliTuesday, October 12 th 2010 5:30pm -7:00pm

    The Waterfront Crab House 2-03 Borden Ave. Long Isla nd City, NY

    ____TICKET $100 ____FRIEND $250 ____SUPPORTER $500

    ____DONOR $1000 ____CO-HOST $2400

    Please charge $__________________ to my: ____ Visa ____ MasterCard ____ American Express

    A c c o u n t # _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ E x p . _ _ _ _ _ _ _ _ _ _ _ _ _

    S i g n a t u r e_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _

    N a m e o n c a r d _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _

    C o n t r i b u t o r N a m e _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

    PA C , P a r t . , o r L L C N a m e ( i f a p p l i c a b l e ) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

    A d d r e s s _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

    C i t y , S t a t e , Z i p _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

    O c c u p a t i o n _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ E m p l o y e r _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

    P h o n e _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ F a x _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

    E m a i l _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

    Please make checks payable to DiNapoli 2010 and mail to: DiNapoli 2010

    c/o Amy DowellPO Box 20288

    New York, NY 10021or you may fax this form to (646) 861-0207

    For more information, please contact Elizabeth at (646) 861-0066 or email

    [email protected] DISCLAIMER:Contributors Confirmation DiNapoli 2010 does not accept contributions from any contributor: (1) who is employed by the Office of State Comptroller; (2) thatresponds to a request f or proposals (RFP) for investment or legal business with the New York State Common Retirement Fund (the Fund) (this restr iction appliesfrom the date the RFP is issued through the ninetieth day after the initial contract is signed); or (3) that is acting as a placement agent in an investment transactionwith the Fund or acted as a placement agent in an investment transaction that closed with the Fund in the preceding twelve months. I hereby confirm that thiscontribution was made from the contributors own funds, is not being reimbursed in any manner, and is not in any of the three prohibited categories (1) (3) listedabove.

    Signature Required___________________________________________ Print Name_____________________________________________________

    Pursuant to Executive Order of the S tate Comptroller , effective November 7, 2009, the Fund is prohibited from engaging an investment adviser: (1) for two years af terthe investment adviser or covered associate makes a contribution in connection with any election for State Comptroller (other than contributions by a coveredassociate, who is a natural person entitled to vote in New York State at the time of the contribution, of up to $250 per election); or (2) if the investment advisor orcovered associate coordinates or solicits any person or political action committee to make contribution in connection with any election for State Comptroller.

    Contributions to DiNapoli 2010 are not deductible for federal income tax purposes. The maximum permissible general election contribution is $37,800. Partnershipsthat make contributions exceeding $2,500 will be required to specifically identify the partners responsible for the contribution and that amount will be countedagainst each partners individual contribution limit. Total contributions from a corporation may not exceed $5,000 per calendar year to all New York state and localpolitical committees. Corporations, other entities and individuals are strictly prohibited from reimbursing another person or entity for making a contribution. Allcontributors must be US citizens or permanent resident aliens (green card holder).NOTE: Any materials prepared in connection with the event and featuring Congressman Joseph Crowley may not solicit or direct any funds outside the sourcerestrictions and contribution limits of federal law, for example, from corporations or labor organizations, or in amounts exceeding $2,400 per election, from anyindividual. All such materials must be qualified with the following language. Because of the involvement of Congressman Joseph Crowley, a federal candidate inthis event, we are asking for donations of up to $2,400 per election, from any individual. We are not asking for funds from corporations, labor organizations, orother federally prohibited sources.NOTE: All funds solicited in connection with this event are by DiNapoli 2010, and not by Congressman Joseph Crowley.

    Paid for by DiNapoli 2010 and Designed in-house.